FORM 1023-EZ for TRINITY LIVES

Field Data
EIN 83-4554199
Case Number EO-2019218-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRINITY LIVES
Organization’s Mailing Address 35919 53RD AVE S
City AUBURN
State WA
ZIP 98001-9114
Accounting period End 12
Primary contact name MARY BROCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY BROCK
PRESIDENT, TREASURER
35919 53RD AVE S
AUBURN WA 98001-9114

Officer/Director/Trustee Two

CHRISTIN HARRIS
SECRETARY
8116 224TH AVE E
BUCKLEY WA 98321

Officer/Director/Trustee Three

GEORGETTE BROCK
VICE PRESIDENT
43120 AUBURN-ENUMCLAW RD SE
ENUMCLAW WA 98022

Officer/Director/Trustee Four

ADRIENNE QUERY-FISK
VICE PRESIDENT
4728 S BRANDON ST
SEATTLE WA 98116

Officer/Director/Trustee Five

ERIN STINE
VICE PRESIDENT
432 4TH AVE SE
PACIFIC WA 98047

Organization’s website WWW.TRINITYLIVES.ORG
Organization’s email MARY@TRINITYLIVES.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY BROCK
Signature Title PRESIDENT, TREASURER
Signature Date 8/4/19

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